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Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update...

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Diclofenac: non-steroidal anti-inflammatory substance Vet diclofenac caused 95-99% decline in Indian Gyps vultures in 20 years Vet diclofenac in Europe Safe alternative exists Legal availability of diclofenac in Europe causes a precedent and a conduit for a global boom in veterinary diclofenac worldwide Diclofenac in Europe – an update
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Page 1: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

Diclofenac: non-steroidal anti-inflammatory substance Vet diclofenac caused 95-99% decline in Indian Gyps

vultures in 20 years Vet diclofenac in Europe Safe alternative exists Legal availability of diclofenac in Europe causes a

precedent and a conduit for a global boom in veterinary diclofenac worldwide

Diclofenac in Europe – an update

Page 2: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

Kidney failure Death within two days LD50 (dose at which half of

the vultures die): 0.098-0.225 mg p.o.

Toxicity up to 1 week after diclofenac treatment

withdrawal periods for diclofenac: 12 days for pigs & 15 days for cattle.

Diclofenac kills vultures

Page 3: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

Diclofenac in Europe

Manufactured by Italian company (FATRO) Used in cattle, pigs and horses, subject to veterinary

prescription, and application by veterinaries (intravenous) or under vet supervision (intramuscular)

Used to treat mastitis-metritis on lactating females, respiratory diseases (bronchopneumonia) and pathologies of the muscle-skeleton (tendinitis, myositis, arthritis

First authorised in 1993 (Italy) Since 2009 in a number of countries (Estonia, Czech Republic,

Latvia) 2013 in Spain

Page 4: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

Diclofenac in Europe

Between 9,460 and 27,700 animals were treated with diclofenac in Spain during the first year of marketing of this drug alone

10% of diclofenac used in animals in extensive pastures Spanish gov. estimated: 15 – 39 Eurasian griffon vultures

will die /year Green & Margalida (2014): 683-4792/year

Page 5: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

Diclofenac in Europe – time line

2009 - Approved in Italy (Reuflogin) 2013 - Approved in Spain (Diclovet & Dolofenac) Dec 2013 – VCF informed Jan 2014 – VCF and other conservation organisations write and meet EU Commission and ask for banning of diclofenac Mar 2014 - VCF & others contact FATRO and asks for voluntary withdrawal of the market – refused 2014 - VCF & others campaign. Press work. Petition (50,000 signatures). IUCN, CMS, WCS, EAZA, SCB, OIE all support campaign

Page 6: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

VULTURE CONSERVATION FOUNDATION

Page 7: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

VULTURE CONSERVATION FOUNDATION

Page 8: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

Diclofenac in Europe – time line

Aug 2014 - EU Commission asks the European Medicine Agency (EMA) for scientific opinion Oct-Nov 2014 – public consultation and hearing. VCF contributes Dec 2014 - EMA decision

Page 9: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

EMA Decision Confirmed risk for vultures and other necrophagous birds in the

European Union Risk identified at two exposure scenarios - feeding stations from

non-slaughterhouse material and fallen stock

Page 10: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

EMA Decision

Considers that further regulatory action is needed (e.g. implementation of additional risk management measures)

These are wide ranging, from banning the drug to labelling

EMA could not evaluate the effectiveness of all of the proposed measures as several of them cannot be quantified at present or do not fall within its remit. Therefore, it did not make a recommendation on which of them would be most appropriate.

Page 11: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

EMA Decision Annex I Summary of considered risk management measures Information to veterinarians Warnings in the product literature Change in the administration pattern of the VMP Changes in the food chain information Increase controls in farms intentionally leaving dead animals in the field Accompanying of document for by-products Sampling scheme Withdraw diclofenac products from the EU market In conclusion, the EMA was of the opinion that additional risk management measures are needed and efforts should focus on determining the most suitable and effective ones to ensure that contaminated carcasses do not end up in the food chain of vultures and other necrophagous birds.

Page 12: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

Diclofenac in Europe – time line

Dec 2014 - EMA decision Feb 2015 – EU Commission decides, after consulting with member states (MS), NOT ban the drug, and asked MS to develop mitigation plans, to submit by April Jun 2015 – National action plans submitted to the EU

Page 13: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

National Mitigation Action Plans

1. Information to veterinarians - BG, CZ, LI, PL, ES, SE, IT 2. Warnings in the product literature - BG, CZ, EE, IT, ES, SE, IT 3. Changes in the administration pattern of the VMP - BG, CZ, EE 4. Changes in the food chain information - PT, IT 5. Increase controls in farms intentionally leaving dead animals in the field - PT, IT 6. Accompanying of document for by-products - PT 7. Sampling scheme - HR, CY, ES 8. Withdraw diclofenac products from the EU market - AT, SE

Page 14: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

National Mitigation Action Plans - Italy

Italy takes almost no measures. They have amended the labelling – indicating that animals treated cannot be fed to wild fauna and not put on feeding stations, and that animals can only be sent out grazing after the withdrawal period. They also previously send out note to feeding stations and veterinarians

Page 15: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

National Mitigation Action Plans - Spain Spain takes even less measures. They have amended the labelling – a general sentence indicating that Diclofenac should not be administered to animals that will be eaten by wild fauna. They send out a note to veterinarians. They are planning to set up a scheme to test sick and dead vultures, but at first will rely on the wildlife rescue centres to provide them with information. Spain explicitly decides not to change the prescription method, as they claim it is not practically possible. They also will not change the Food Chain information and the documentation of byproducts.

Page 16: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

Last year´s meeting

Implement public campaign to detect head dropping birds – not done - capacity

Explore diclofenac in water in farms in Spain line – cost!!!

Continue work in press, work with vets and advocacy - ongoing

Page 17: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

Diclofenac in Europe – future options

Lobbying/Advocacy Member states to improve action plans Continue to battle for ban Press work

Sampling in the field In Andalucia, only 15% of all tissue vulture corpses taken to centers were tested against diclofenac presence (5 griffons in 2014-2015)

Page 18: Diclofenac in Europe an update - Life Under Griffon Wings...Diclofenac in Europe – an update Kidney failure Death within two days LD50 (dose at which half of the vultures die): 0.098-0.225

Beyond Diclofenac Vet drugs (NSAIDs, euthanasia agents, antibiotics) -

probably a bigger threat than we think or know – Fluxinin, anti-parasitics

EU risk assessment guidelines + testing toxicity of existing and new drugs on vultures


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